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ELECTRONIC MEDICAL BILLING DOCUMENTATIONPlease see below for links to the documents required to set up a new Medavant account, or upgrade your existing account with MedAvant Phoenix. Please check your email sent to you by our EDI consultants, which lists the documents required for your specific account set up. Please call us at 631-941-1014 if you have any questions. Payer ListsMedAvant Phoenix Payer List - Electronic Claim SubmissionMedAvant Phoenix ERA List - Auto Payment Posting MedAvant Phoenix Eligibility Payer List - Check Patient Eligibility NEW ENROLLMENT FORMSEdi Customer ContractERA Enrollment Contract Eligibility Enrollment Contract Exhibit B CAT Form MedPrint (Electronic Statement) Enrollment Carrier Agreement Map UGRADE / MIGRATION ENROLLMENT FORMSVAR Change AmendmentCustomer Migration Profile Add Services Ammendment Form Exhibit B CAT Form ERA Enrollment Contract MedPrint (Electronic Statement) Enrollment Carrier Agreement Map To Reach Us by Phone: TOLL FREE: (888) 987-9335 COMPANY DIRECT: (631) 941-1014 FAX: (631) 941-1013 To Send us Mail: Our Main address is: MedicServe 124 Christian Ave Stony Brook N.Y. 11790 Honesty, Integrity and Customer Satisfaction TM |

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